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TCPI SAN UPDATE: VCSQI Webinar: Practice Transformation Roadmap; News & Learning Sessions

TCPI Goals:  Improve Quality, Reduce Costs & Focus on Patient-Centered Care

Welcome to New Practices Joining the VCSQI SAN 2.0
  • Coastal Eye Associates – Freedom, CA – Ophthalmology
  • Mark Gennaro, MD – Huntington, NY — Vascular Surgery
  • East Tremont Vascular — Bronx, NY – Vascular Surgery
  • Neurological Specialists – Tulsa, OK — Neurology

VCSQI Learning Session: New Roadmap to Transforming Your Practice

Ivan Berkel, MBA, CLSSBB, CPHQ, VCSQI Transformation Improvement Advisor, explains a structure and pathway to help your practice move through the 5 TCPI phases of transformation in order to improve the value of care AND move out of MIPS and into an Alternative Payment Model.

Ivan is a Lean Six Sigma Black Belt trained health care executive experienced in health system and physician practice strategy, operations, and continuous improvement. Ivan’s organization and facility experience includes 25 to 1,100-bed acute-care health systems, academic and community medical centers, critical access hospitals, and physician practices. He previously served as System Director for Performance Excellence with Catholic Health Initiatives, Process Improvement Manager with HealthPointe Medical Group, and Senior Performance Improvement Consultant with Florida Hospital.

Click here for recording of November 2 Webinar


More VCSQI Learning Sessions:

Data Management and Quality Reporting
Tuesday, November 14, 4 – 5 pm EST

Eddie Fonner, VCSQI Executive Director and Assistant Project Director for the VCSQI SAN 2.0 grant program, will outline and explain data uploads and specifications for quality measures to be reported for TCPI project.  Please forward to others who are involved in data collection and submission activities. Join the webinar following this link:  https://zoom.us/j/4200618741 *** Dial-in: 1-646-558-8656 with meeting id 4200618741


To Help You Meet Practice Assessment Milestone #15, Listen to the Recording of this VCSQI Sponsored Webinar

Basic Quality Improvement Principals: “If you aren’t measuring it, you aren’t improving it!”

 This VCSQI SAN 2.0 webinar on Basic Quality Improvement Principals is for all practices’ clinicians and office staff. Guest speaker is Brenda Kennedy, DHA, MBA, BSN, RN, FAIHQ, from the TCPI national faculty group. This will help practices meet Practice Assessment Tool criterion #15 –  that asks if staff has been trained and empowered to participate in Quality Improvement Projects.   Video recording from September 26 here.    Audio recording here.


VCSQI SAN 2.0 Request: Participating Practices Complete 2 Brief Surveys

Debbie Nadzam emailed all lead administrators on Monday with the following information: The first survey focuses on your practices’ opioid prescribing practices (25 questions max, depending on your answers to some of them).  Even if you do not prescribe opioids, please answer the first few questions that will allow you to indicate you do not prescribe opioids. You will not need to answer any questions after that.

The second survey focuses on person/patient and family engagement; there are only 11 questions.

We request only one completed survey of each for your practice.  Since you will need to gather up responses with input from your clinical staff prior to actually going to the survey monkey link, we thought you might want to do this for both surveys in one sitting.

Here are pdf’s of both surveys so that you can print/view them prior to going to the survey monkey links to actually complete the surveys:

VCSQI Opioid Prescribing Practices Survey- 11-06-2017

VCSQI PFE Survey-11-06-2017

Please complete these surveys by Friday, November 17th.

Opioid Prescribing Practices Survey Link:


Person/Patient and Family Engagment Survey Link:




Join the Effort to Reduce the Opioid Misuse Epidemic!

Our President has declared the opioid crisis in the United States a “national public health emergency” and announced initiatives to address the epidemic. Here are resources for your reference in reassessing your prescribing practices “to do no harm.”

Have conversations to alert patients to safely dispose of unused pain medication. It’s been reported that 55{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803} of abusers obtain painkillers from a friend or relative!

Addressing the Opioid Misuse Crisis is a priority of VCSQI SAN 2.0 and CMS!

“Impacting the Opioid Crisis through Improved Prescribing Practices”

In this one-hour VCSQI SAN 2.0 sponsored webinar Dr. Jared Skillings from American Psychological Association and Dr. Robert Bales, Family Medicine Cleveland Clinic and Assistant Professor of Family Medicine provide an overview of the crisis, current trends, general considerations when prescribing opioids, and non-pharmacological pain management techniques.

Click here for the October 24, 2017 Webinar Recording. 

Check Out These Recent Opioid-related Releases from CDC

Rx Awareness Campaign

With the tagline “It only takes a little to lose a lot,” the Rx Awareness Campaign tells the real stories of people whose lives were torn apart by prescription opioids. The goal of the campaign is to increase awareness that prescription opioids can be addictive and dangerous.

Here is a social media kit with sharable resources.

CDC Web Feature:  Rx Awareness – Impact of an Epidemic     

Click here to read more about how we can work together to share stories of Americans whose lives have been impacted by the opioid misuse epidemic.

New Opioid Overdose Materials for Patients

CDC released several new patient-centered materials for patient education about opioid use.  These materials are free and available for download.

  • What You Need to Know outlines the differences in acute and chronic pain and what you need to know when prescribed opioids for acute pain management.
  • Get the Facts Infographic highlights important information about acute pain management for common conditions and injuries.
  • Know the Signs. Save a Life. This is a resource that identifies factors that can increase the risk of overdose and steps to prevent overdose and death.

New Provider Training Module:  Communicating with Patients

Click here to learn effective communications strategies to promote healthy dialogue with patients regarding benefits and harms of opioids.  

Click here for the CDC Guideline for Prescribing Opioids for Chronic Pain.


More Quality Payment Program Resources

Upcoming Webinar: CAPG Educational Series 2017, How to Control Costs for the MIPS Resource Use Component

December 1, 201, 8 – 9:30am PT / 11am – 12:30pm ET

Register:  http://eventcenter.commpartners.com/se/Rd/Rg.aspx?367504

Subject matter expert Theodore G Long, MD, MHS, Acting Senior Medical Officer, Quality Measurement and Value-Based Incentives Group from CMS will review the MACRA policies for the MIPS cost category and clarify the final rule statements.

CAPG members Meena Bansal, MD, Deputy Chief Medical Officer, Mount Sinai Health Partners and Chief Medical Officer, Mount Sinai Care, LLC  and Samuel Bauzon, MD, MMM, CPE, Senior Medical Director of Clinical Documentation and Quality Initiatives, Southwest Medical Associate will share best practices and lessons learned, what has worked well and where are the opportunities? Additionally, CAPG members will share with the audience about the rationale behind their strategies and any implications for their organizations. For more information, please contact Dr. Amy Nguyen, anguyen@capg.org or 213.239.5051.


Now Available: Accredited Online Course – the Quality Payment Program in 2017: Merit-based Incentive Payment System Advanced Payment Models  

A new, online and self-paced overview course on the Quality Payment Program is now available through the MLN Learning Management System. Learners Participants will receive information on:

  • Merit-based Incentive Payment System (MIPS) Alternative Payment Models (APM)
  • How to recognize who is a participant in a MIPS APM
  • Benefits of the special APM scoring standard for MIPS APM participants
  • Criteria for reporting on performance

This course is the fifth course in an evolving curriculum on the Quality Payment Program, where participants will gain knowledge and insight on the program all while earning valuable continuing education credit. Keep checking back with us for updates on new courses. First time participants will need to register for the MLN Learning Management System. Once registered, you will be able to access additional courses without having to register.  For information on how to login or find training, please visit our MLN Learning Management System FAQ sheet.

The Centers for Medicare & Medicaid Services designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Credit for this course expires August 1, 2020. AMA PRA Category 1 Credit™ is a trademark of the American Medical Association.

Please click here for accreditation statements


New Medicare Card: Provider Ombudsman Announced

The Provider Ombudsman for the New Medicare Card serves as a CMS resource for the provider community. The Ombudsman will ensure that CMS hears and understands any implementation problems experienced by clinicians, hospitals, suppliers, and other providers. Dr. Eugene Freund will be serving in this position. He will also communicate about the New Medicare Card to providers and collaborate with CMS components to develop solutions to any implementation problems that arise. To reach the Ombudsman, contact: NMCProviderQuestions@cms.hhs.gov.

The Medicare Beneficiary Ombudsman and CMS staff will address inquiries from Medicare beneficiaries and their representatives through existing inquiry processes. Visit Medicare.gov for information on how the Medicare Beneficiary Ombudsman can help you.

Physician Compare Preview Period Extended to December 1

Preview your 2016 performance information as it will appear on the Physician Compare website later this year. The preview period is extended to Friday, December 1 at 8 pm ET due to a technical issue that prevented the data from properly displaying in the Provider Quality Information Portal (PQIP); this display issue is now resolved. For more information, visit the Physician Compare Initiative website.

Questions: For assistance accessing PQIP or obtaining your Enterprise Identity Management user role, contact the QualityNet Help Desk at 866-288-8912 or qnetsupport@hcqis.org     For questions about Physician Compare, public reporting, or the 30-day preview period, contact PhysicianCompare@Westat.com


QRUR Webcast: Audio Recording and Transcript — New

An audio recording and transcript are available for the October 19 webcast on the 2016 Annual Quality and Resource Use Reports (QRURs). This event provides an overview of the report and explains how to interpret and use the information.


Share Your Quick Wins & Success Stories

Tell us about steps you are taking for process improvement that are achieving results in improving patient care and clinician satisfaction in providing care. We want to share your successes and encourage others to adopt identified ways to provide better care.  We’ll be listening and watching for your successes.  You can also share them with Ivan on your regular calls, or via email at ivan.r.berkel@gmail.com.


Quote for the Week:

What Do You Want to Hear More About?

Let us know what you want to learn more about and if you have questions for your colleagues enrolled in the VCSQI SAN 2.0!  Contact us at vcsqi.org@gmail.com or (913) 909-3140. 


About VCSQI SAN 2.0:  Primary Goal

The goal of the VCSQI SAN 2.0 is to assist participating practices progress through the 5 phases of the Quality Payment Program (QPP) practice transformation process.  Starting with review of your baseline practice assessment, we will guide you and your practice leaders through practice improvement activities and changes. Our goal is to successfully keep your practice moving from one phase to the next to optimize your CMS reimbursements in the QPP, and improve quality, reduce costs and focus on patient-centered care.


Participating Practices:

  • Alamogordo Ear, Nose, and Throat – Alamogordo, NM – Facial Plastic Surgery
  • Allergy and Dermatology Specialists – Surprize, AZ – Dermatology
  • Ashok Agaral, MD – Hemet, CA — Cardiology
  • BKC Pain Specialists – Marion, OH – Family Practice
  • Cardiothoracic Surgeons Inc. – Indianapolis, IN – Cardiac Surgery
  • Cedar Edge Chiropractic, CO
  • Coastal Eye Associates – Freedom, CA – Ophthalmology
  • CVT Surgical – Baton Rouge, LA – Cardiac Surgery
  • East Tremont Vascular — Bronx, NY – Vascular Surgery
  • Faith Regional Urology Services – Norfolk, NE – Urology
  • Mark Gennaro, MD – Huntington, NY — Vascular Surgery
  • Graduate Vascular and Endovascular Surgeons, Philadelphia, PA
  • Havasu Cardiac Surgery, Havasu, AZ
  • Houston Methodist Cardiovascular Surgery Associates, Houston, TX
  • JF Southwest Heart Clinic, Houston, TX
  • Macomb Infectious Disease Specialists – Shelby Township, MI – Infectious Disease
  • McLeod Chiropractic – Three Rivers, MI – Chiropractic
  • Mid-Atlantic Cardiothoracic Surgeons, Norfolk, VA
  • Middlebury Podiatry – Middleboro, MA – Podiatry
  • Nebraska Heart Institute, Lincoln, NE
  • Neurological Specialists – Tulsa, OK — Neurology
  • Nevada Ear, Nose, and Throat Center – North Las Vegas, NV – ENT
  • OPA Medical, Oxon Hill, MD – Family Practice
  • Options Physical Rehabilitation Center – Nutley, NJ – Internal Medicine
  • Orlando Cardiovascular Surgeons, Orlando, FL
  • Professional Village Family Medicine – Sterling Heights, MI – Family Practice
  • Sentara Heart Hospital, Norfolk, VA
  • Raney Zusman Medical Group – Newport Beach, CA – Cardiac Surgery


VCSQI SAN 2.0 Enrollees’ Progress: 

32 practices enrolled

193 providers enrolled

13 practices have completed assessment

90{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803} in Phase 1

10{407ac5a1c3664d12063f649ef13ac264ddc5691f1aad397cd50a48bf859e3803} in Phase 2

20 specialties across 10 states


Resources for Participating Practices:
  • VCSQI Overview on MACRA, MIPS, and APMs:


  1. Registration on HealthcareCommunities.org: http://www.healthcarecommunities.org/Help/FAQs/Registration/HowtoRegisterontheHCPortal.aspx
  2. TCPI Resources:
    1. Change Package: http://www.healthcarecommunities.org/Communities/MyCommunities/TCPI/TCPI/ChangePackage.aspx
    2. Change Driver Diagram: http://vcsqi.org/wp-content/uploads/2017/03/TCPI_DriverDiagram_Color_March16_vpdf
    3. Practice Assessment Tool: http://vcsqi.org/wp-content/uploads/2017/03/NCC-PAT-2.2_Specialist_xlsx
  3. Alternative Payment Model Design Toolkit: http://vcsqi.org/wp-content/uploads/2017/03/QPP_How_to_Design_an_APM.pdf
  4. Access to exclusive patient educational resources, clinician protocol library, and clinical/financial reporting portal on VCSQI.org – coming soon

Please contact us at vcsqi.org@gmail.com with any questions, comments, or requests for additional information.

VCSQI SAN 2.0 November 2017 – All Rights Reserved


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